During an interview, the nurse states, "You mentioned shortness of breath.
Tell me more about that.”. Which verbal skill is used with this statement?
Facilitation.
Direct ask.
Open-ended ask.
Reflection.
The Correct Answer is C
Choice A rationale
Facilitation is a verbal technique that encourages the patient to say more by using non-verbal cues, such as nodding, or minimal verbal cues like "Mm-hmm" or "Go on.”. While it promotes communication, the statement "Tell me more about that" is a direct prompt for detailed information, not a subtle encouragement.
Choice B rationale
A direct ask is a specific question that elicits a concise, often one-word or brief, answer, such as "Are you in pain?" or "When did the shortness of breath start?" The nurse's statement, however, invites elaboration and detailed description, going beyond a simple direct response.
Choice C rationale
An open-ended ask is a type of question that encourages a comprehensive and descriptive response from the patient, rather than a simple yes or no answer. By asking "Tell me more about that," the nurse invites the patient to elaborate on their experience of shortness of breath, providing a richer understanding of the symptom.
Choice D rationale
Reflection involves repeating a patient's words or phrases to encourage further expression of their feelings or thoughts. While the nurse acknowledges the patient's mention of "shortness of breath," the statement "Tell me more about that" is an invitation for elaboration, not a direct reflection of the patient's exact words to encourage emotional exploration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Having the patient lie flat before administering medications through a tube increases the risk of aspiration, as gastric contents can reflux into the esophagus and potentially enter the airway. Proper patient positioning is crucial to promote safe medication delivery and prevent pulmonary complications.
Choice B rationale
Administering medications when gastric residual volume is 200 mL or more is generally not recommended. A high residual volume indicates delayed gastric emptying, increasing the risk of aspiration and potentially affecting medication absorption. Typically, residuals of 200-250 mL or more warrant holding the feeding and reassessing.
Choice C rationale
Mixing all medications together before administration is often inappropriate and can lead to several problems. Drug incompatibilities can occur, altering medication effectiveness, causing precipitation, or leading to tube occlusion. Each medication should generally be administered separately, flushed with water between doses.
Choice D rationale
Elevating the head of the patient's bed to at least 30 degrees before administering medications through a tube significantly reduces the risk of aspiration. This semi-Fowler's position utilizes gravity to keep gastric contents in the stomach, promoting safe passage of medications and minimizing reflux into the esophagus and lungs.
Correct Answer is ["4"]
Explanation
Step 1 is 1640 - 1200 = 440.
Step 2 is 440 = 4: PM.
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